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Night cramp (Cramps) Part 2 (Teacher: Michael)

The patient first complains of aching legs after exercise. It may slight, but gradually becomes more pronounced. Then the pain is not merely an ache, but a definite, crippling cramp, which can so severe that the patient finds he or she cannot after much walking. Intermittent claudication is caused by the narrowing of the arteries and often starts in the 30s. It generally means that the arteries everywhere in the body have narrowed and blood cannot reach the muscles fast enough when they are in use. The heart muscles may equally affected.

This condition may a good enough excuse for not doing jobs you don't like doing, but that is poor consolation. It is a disease which affects men far more than women and attacks are more common in cold weather, or even after sitting in a chair at the office in a draught. It is also a slightly hereditary complaint. This is by no means the same as the night-time cramp already mentioned, and there is no absolute cure. The patient learns to regulate the amount of exercise he or she can comfortably . No drugs offer a complete relief but there is one habit which the sufferer must up, smoking.

Whatever may or may not one's views about the habit, it undoubtedly makes intermittent claudication far more troublesome. A number of patients will secretly admit that so long as they off tobacco they not this fearsome cramp.

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